Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,348.96 / $1,819.70	Professional		$630.96	$1,348.96	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $3,311.31	Professional		$1,698.24	$1,698.24	$3,311.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $2,511.89	Facility		$190.55	$190.55	$2,511.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $2,511.89	Professional		$190.55	$190.55	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,071.52 / $1,071.52	Facility		$169.82	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,071.52 / $1,318.26	Professional		$169.82	$1,071.52	$1,318.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,445.44	Professional		$1,348.96	$1,348.96	$1,445.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $776.25 / $1,445.44	Facility		$89.13	$776.25	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,659.59	Professional		$758.58	$1,148.15	$1,659.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,348.96	Facility		$1,318.26	$1,318.26	$1,348.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,348.96 / $1,445.44	Professional		$1,318.26	$1,348.96	$1,445.44